Lisa Alday
Edward Don & Company
Crest Hill,IL
17
years of professional experience
Experienced with managing overdue accounts and resolving payment issues. Utilizes negotiation skills and customer relations to achieve successful debt recovery. Knowledge of industry regulations and collection techniques ensures compliance and effectiveness.
Work History
Credit and Collections Representative
2 Years 11 Months- Reconcile and resolve out of balance conditions, payments, short payments, over payments, unexplained deductions, duplicate deductions, and any other balance over 90 days old via SAP software.
- Contact customers by phone, email and TermSync portal regarding past due invoices.
- Contact sales representatives to enlist their help on past due accounts. Accounts going on credit hold or being placed for collections.
- Obtain approval of supervisor before placing accounts for collection with agencies or attorneys.
- Issues credit memos for reasons other than merchandise returns (price, tax, freight, damage, or gratuity credits).
Collections Specialist
1 Year- Receive outbound calls from patients inquiring about their balance.
- Notify customers of delinquent accounts with attempt to collect outstanding amounts.
- Process payments over the phone and set up recurring drafts.
- Update customer accounts with accurate contact information.
- Locate and monitor overdue accounts to begin collections process.
- Send e-statements to the patients through the AR portal on a monthly basis
Physicians A/R Rep II
5 Years 1 Month- Complete reports, and resolve high priority and aged inventory
- Fax, mail and upload medical records for auto, workman's comp Commercial and Medicaid claims.
- Obtain referrals and pre-authorizations as required.
- Verify eligibility via Insurance websites and by telephone
- Process claims using EPIC billing software, including electronic and paper claims
- Follow up on unpaid claim denials within standard billing cycle timeframes
- Contact insurance companies regarding any discrepancy in payments
- Bill Primary, secondary or tertiary insurances
- Appeal all denied claims via fax, mail and uploading through insurance portals.
Medical Billing Specialist
3 Months- Processed medical claims using advanced billing software to ensure accuracy and timely submissions.
- Bill Primary, secondary or tertiary insurances
- Review and verify eligibility via telephone, insurance web portals and clearinghouse
- Maintain timely charge submission through electronic clearing house
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Precisely evaluated and verified benefits and eligibility.
Insurance Verification Specialist
6 Years 5 Months- Process ambulance run reports electronically and submit paper claims.
- Process insurance verifications to ensure accurate patient coverage and reimbursement into meditech.
- Updated patient records with accurate, current insurance policy information.
- Bill Primary, secondary or tertiary insurances.
Education
High School Diploma
Skills
Insurance verification
Billing practices
Insurance policies
Billing systems and software
HIPAA compliance
Claim submission
Debt recovery
Credit collections
Timeline
Credit and Collections Representative
Edward Don & Company
08.2023 - CurrentRead More
Collections Specialist
Doctors Of Physical Therapy
09.2021 - 09.2022Read More
Physicians A/R Rep II
Conifer Health Solutions
08.2016 - 09.2021Read More
Medical Billing Specialist
REVMD Partners LLC
10.2015 - 01.2016Read More
Insurance Verification Specialist
Superior Air Ground Ambulance
05.2009 - 10.2015Read More
Downers Grove North High School
High School Diploma
Read More